I will admit that have been remiss on keeping up on what nurses at AllNurses have to say on the hourly rounding mandate. But my hospital seems to be going over the top and literally forcing nurses to script their interaction with patients.
We have hourly rounding quarterly validations and over 75 percent of the RNS failed recently (though we have been doing it for 2 plus years).
The nurses failed to use the works: "hourly visit" but may have phrased it as hourly rounding
Also not stating: "What is the most important thing I can do for you today?"
But the icing on the cake is that they are requiring us to state, "I have the time."
The funniest part is that the patients are continually commenting on how ridiculously busy all the RNS are and the phone rings 5 times the minute we enter a room.
One patient's husband stated to me: "I have never witnessed one of you nurses walking casually or slowly, you are always hurriedly going somewhere with intention."
We obviously do not have the time! We have no time.
One patient recently refused to have a foley placed because the RN kept receiving phone calls. Mind you that she did not answer the phone but the patient became upset and said he thought he deserved at least 5 minutes of uninterrupted time with his caregiver.
Is this common in other facilities or is my place of employment just unique?
While I understand the reasons for carrying phones I think it is horribly rude to interrupt speaking with a patient to answer the phone!. All the faux feel good contrived things they have us do will never, ever make up for the rudeness that is turning your attention from your patient who is right in front of you to the telephone. That one act alone undoes all the other things they try to do under the guise of customer service. What they really want to do with the hourly rounding, scripting and charting demands is to increase institutional plausible deniability and allow them to shift blame to the nurse because she didn't meet the job "requirements". I have retired instead of putting up with this nonsense because honestly, it's just not worth it anymore.
I will admit that have been remiss on keeping up on what nurses at AllNurses have to say on the hourly rounding mandate.
But my hospital seems to be going over the top and literally forcing nurses to script their interaction with patients.
We have hourly rounding quarterly validations and over 75 percent of the RNS failed recently (though we have been doing it for 2 plus years).
The nurses failed to use the works: "hourly visit" but may have phrased it as hourly rounding
Also not stating: "What is the most important thing I can do for you today?"
But the icing on the cake is that they are requiring us to state, "I have the time."
The funniest part is that the patients are continually commenting on how ridiculously busy all the RNS are and the phone rings 5 times the minute we enter a room.
One patient's husband stated to me: "I have never witnessed one of you nurses walking casually or slowly, you are always hurriedly going somewhere with intention."
We obviously do not have the time! We have no time. One patient recently refused to have a foley placed because the RN kept receiving phone calls. Mind you that she did not answer the phone but the patient became upset and said he thought he deserved at least 5 minutes of uninterrupted time with his caregiver.
Is this common in other facilities or is my place of employment just unique?
The latest flavor of kool-aid.
Perpetuated by managers who have no/little/long ago bedside experience.
Whose goal is the bottom line. You don't need to care about your patients, just act like you do.
Because then they will check off the "excellent" boxes, and the facility will be paid. Period.
No one is a nurse in the classic sense anymore. The goal is customer service, theme park type atmosphere, where the customer is always right. Unfortunately they may not have a functional level to enjoy life outside of a facility, but gosh darn it, they will have a smile on their face and the illusion that they have a private duty nurse.
And the phone ringing nurse? I bet you any amount of cash that in fact the NURSE was the one who was "spoken to" regarding this--either that the patient complained, or that the phone was left unanswered. Darned if you do, darned if you don't. So make sure your phone is on silent when you walk into your patient room, but you best turn it on and respond to it in all of your "free time".....and then you can be asked why you are not hourly rounding....
And so it goes...and will continue to go until such time as BSN and MSN prepared nurses are willing to work for minimum wage so that the facility can hire to actually meet some sort of ratio standard that is compatible with actually taking care of patients, get rid of that pesky union thing, and be appreciate you have a JOB.....
Sigh....it is everywhere, it is not going anywhere, and I think that one needs a great deal more than a BSN to make it work. I suggest theatre and marketing, with a minor in consumer relations....
All this is geared towards giving off the illusion and pretense of giving good care, it's just putting a false veneer on everything. Managment doesn't give a crap about staff or patients others that what will cost them money. They want to give themselves plausible deniability at all times and blame everything on the nurse when their ridiculous customers standards are physically unable to be met. They have bean counters in management now who understand absolutely nothing about working with patient care. It's not worth it to work as a nurse anymore, it just isnt'
Preeps
194 Posts
Are you being serious? What did they do implant a micro chip?